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Extended High-Frequency Hearing Loss and Suprathreshold Auditory Processing: The Moderating Role of Auditory Working
Srikanta K Mishra1, Sajana Aryal1, Chhayakanta Patro2
1Department of Speech, Language and Hearing Sciences, The University of Texas at Austin, Austin, Texas, USA.
Objectives:
Natural sounds, including speech, contain temporal fluctuations, and hearing loss influences the coding of these temporal features. However, how subclinical hearing loss may influence temporal variations remains unclear. In listeners with normal audiograms, hearing loss above 8 kHz is indicative of basal cochlear damage and may signal the onset of cochlear dysfunction. This study examined a conceptual framework to investigate the relationship between extended high-frequency hearing and suprathreshold auditory processing, particularly focusing on how cognitive factors, such as working memory, moderate these interactions.
Design:
Frequency modulation difference limens to slow (2 Hz) and fast (20 Hz) modulations, backward masking thresholds, and digit span measures were obtained in 44 normal-hearing listeners with varying degrees of extended high-frequency hearing thresholds.
Results:
Extended high-frequency hearing thresholds alone were not directly associated with frequency modulation difference limens or backward masking thresholds. However, working memory capacity-particularly as measured by the backward digit span-moderated the relationship between extended high-frequency thresholds and suprathreshold auditory performance. Among individuals with lower working memory capacity, elevated extended high-frequency thresholds were associated with reduced sensitivity to fast-rate frequency modulations and higher backward masking thresholds. It is important to note that this moderating effect was task-specific, as it was not observed for slow-rate modulations.
Conclusions:
The impact of elevated extended high-frequency thresholds on suprathreshold auditory processing is influenced by working memory capacity. Individuals with reduced cognitive capacity are particularly vulnerable to the perceptual effects of subclinical cochlear damage. This suggests that cognitive resources act as a compensatory mechanism, helping to mitigate the effects of subclinical deficits, especially in tasks that are temporally challenging.
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